ARCHANA S SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

ARCHANA

Middle

Last Name

SHAH

Business Name

ARCHANA S SHAH

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

07/31/2002

City

AURORA

State

Zip

60504

County

KANE

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/09/2006